User:MeaganP11/sandbox

Article: https://en.wikipedia.org/wiki/Bipolar_I_disorder

Original text introduction:

Bipolar disorder (also known as manic depression) is a mental illness where a person will have repeated, long-lasting feelings (episodes) of high (mania) and low mood (depression). It may occur with or without cycles of normal mood, called euthymia. A mixed episode occurs when both mania and depression are present at the same time.

What I am adding to the introduction:

Suicide is the leading cause of death in people diagnosed with bipolar disorder. Studies conducted show that 25% to 50% of patients with bipolar disorder will attempt suicide at least once over their lifetime and that 8% to 19% will complete suicide. [1] Death by suicide is a growing problem in patients diagnosed with bipolar disorder, therefore, risk management is crucial.

Original text treatment section:

Like most mental illnesses, there are ways to treat bipolar disorder. The most common way to treat bipolar disorder is by using medications called mood stabilizers. These medicines prevent and control the manic and depressive episodes. One of the most common mood stabilizers is lithium. Therapy can also be used to control the symptoms. The same treatments and medicines do not work for everyone, and it is not uncommon for people to have symptoms return if they stop taking medication. Things like this can make bipolar disorder a difficult illness to live with, but educating patients about it makes it easier. Sometimes, people need to be treated against their will. Patients may be thinking about or have tried to commit suicide, or they may be unable to see their situation properly. In many cases, teaching people about their disease helps. When they have gone through the phases of the illness a few times, they often see that treatment can make their life easier.

What I am adding to the treatment section:

Lithium has been proven to be the best medication for the long-term treatment of patients diagnosed with bipolar disorder. Studies have shown that lithium reduced the risk of manic relapses by 38% and depressive relapse by 28%. [2]

Psychosocial treatment is an alternative to medication that has been proven to help subside side effects that can arise from the disorder. This treatment is built on the notion that psychosocial stressors such as excessive family discord or distress, negative life events, or events that disrupt sleep and wake rhythms or accelerate goal attainment are associated with relapses and worsening symptomatic states. [2] Psychosocial treatment entails of giving the patient and their families stress management strategies, as well as provides them with multiple ways to detect early signs of relapse or recurrence. This type of treatment also encourages the patient to live a regular lifestyle and follow regular habits. [2]

Additional information I am adding to the article

Suicide prevention:

Suicide is common in patients diagnosed with bipolar. To prevent the likelihood of this happening, it is recommended that patients affected by the disorder are assessed for suicide risk. Further, many medications can be prescribed by a doctor that can help reduce suicidal ideation such as long-acting benzodiazepine, clonazepam, and sedating second-generation antipsychotics such as olanzapine and quetiapine. [3]

Suicide risk factors:

Common factors seen in people diagnosed with bipolar disorder are severe or anxious major depression, insomnia, hopelessness, guilt, and past suicide attempts. Historical variables that have been shown to increase the risk of attempted and completed suicide in bipolar patients are rapid-cycling course, predominant depressive polarity, and more prior hospitalizations for depression. [3]Personality traits that can be early signs of suicide can be pessimism, impulsivity, and aggressiveness. [3]

Pediatric bipolar disorder:

Children with one parent diagnosed with bipolar disorder have more than triple the risk of developing this disorder than the average person. Studies have shown that the heritability for bipolar disorder ranges from 70%-90%. [4] Children diagnosed with bipolar disorder are at risk of relapse when living in a household where resides a family member with a mood disorders as this can create tension and conflict. [4]

Substance abuse:

Substance abuse for people who are diagnosed with bipolar disorder can be quite harmful. Substances such as alcohol can significantly worsen the person's state. The illness may advance quicker with the consumption of such a substance. A study shows that people diagnosed with bipolar who consume alcohol regularly are less compliant with their medications, and have a higher presence of other physical comorbidities. [5]

References:

1: https://pubmed.ncbi.nlm.nih.gov/24909246/#:~:text=Results:%20It%20is%20estimated%20that,are%20elevated%20in%20bipolar%20disorder.

2: https://www.sciencedirect.com/science/article/abs/pii/S0140673613608570

3: https://login.proxy.bib.uottawa.ca/login?qurl=https://onlinelibrary.wiley.com%2fdoi%2fpdf%2f10.1002%2f9780470661277.ch7

4: https://www.nejm.org/doi/10.1056/NEJMra1906193

5: https://onlinelibrary.wiley.com/doi/full/10.1034/j.1399-5618.2000.20308.x?casa_token=NMbWurkc-j4AAAAA%3AWQqs2uAV9C74mDrwaqfyHbXjSZWa4qwmnXQClt0CevO2GW8OpwNg96pLfpxbLt3hW2Ees6RlDzJ81YGBqg

Bibliography

Week 7: Start drafting your contributions

Article I am editing: Jean-Gabriel Pageau

The portion of the article I will be adding to is pertaining his junior career. This section of the article is very under developed and is missing much information.

Junior[edit]
Pageau was born in Ottawa and raised in neighbouring Hull, Quebec.[citation needed] As a youth, he played in the 2005 Quebec International Pee-Wee Hockey Tournament with a minor ice hockey team from Gatineau. He later played with the Gatineau Olympiques and Chicoutimi Saguenéens of the Quebec Major Junior Hockey League (QMJHL).[c

Edits:

- Pageau played for the Gatineau Intrepides midget AAA team and had a total of 5 goals and 16 assists in 37 games. Following this outstanding year, he was drafted by the Gatineau Olympic team in the 7th round.

-In his first year playing on the team, he was one of five players to score 15 or more goals

- Had an outstanding second year on the team scoring 32 goals with 47 assists and finishing +23 with 12 power play goals in 67 games. Following this, he was selected by the Ottawa Senators in the 4th round of the 2011 NHL draft.

- in 2012, he returned to play in Gatineau after participating in the Ottawa Senators camp. He was named captain and scored 18 goals with 13 assists in 17 games before suffering the injury. After having recovered, he was traded to Chicoutimi.

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